HomeMy WebLinkAbout10221983 COUNTY OF LOS ANGELES - APPLICATION FOR PEfUv-.
DEPARTMENT OF COUNTY ENGINEER ELECTRIC
T
DIVISION OF BUILDING SI SAFETY
WMLIAM 1. FOR. COIINTY ENGINEER
DISTRICT NO. �G�tC)U41�-j PERMIT NO.
FOR APPLICANT TO FILL IN E
ELECTRICIAN d IL'r I If 10
�' 7 � N I" CEIVED BY READY FOR DATE ISSUED
ADDRESS
' FIRST INSPECTION (�/S^
CITY G V TEL. NO. .7
ij
i
COUNTY LICENSE NO. EXPIRES ^S� gUl
PERMIT FEES ADDR B 4
FEE
NUMBER EACH XOCALITY [•" �� C
LIGHT OUTLETS i NEAREST �/ �I
i
RECEPTACLES CROSS A
I WALL SWITCHES OWNER )170yi n
TOTAL OUTLETS 5C 5
MAIL &:r',) (• C. [ I
ELEC. RANGES 25 ADDRESS
j ELEC. HEATERS 25
FIXTURES 5 CITY W d' 7 TEL. NO
I MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
..PLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS 1
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
t NUMBS OF RECEPTACLE CIRCUI AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE EACH i
k ELMS COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
� N MvO. HP OVER INC. OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
_ Va s tisi •25 IGNATURE OF
IA 2 .50 PERMITT
2 5 ''O° INSPECTION RECORD
j 5 1b 1.50
i 15 50 2.50
50 200 5.00 /Q,S h���� "p1tiraJx I
' 200 Soo 10.00 '-'-
J
Ii boo I loco 15.00 Q
z
OVER 1000 20.00 13
M.G. SET/FREQ. CHANGER-HP 0 '
t
WELDERS: AC-KVA
GENERATORS•KW
f TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
i
' MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO.
NO. LAMPS
FOR EACH PERMIT- DATE INSPECTOR'S NAME
WIRING $1.00 'C'
CONDUIT
FIXTURES 51.00 WIRING
I - FIXTURES
' SUPPLEMENTARY .SO
POWER `' r
`\ TOTAL FEE 3 ,3 UTILITY CO. NOTIFIED w
FINAL
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